Byeon Haewon, Koh Hyeung Woo
Department of Speech Language Pathology, Nambu University, Republic of Korea.
Department of Physical Therapy, Jeju Seogwipo Medical Center, Republic of Korea.
J Phys Ther Sci. 2016 May;28(5):1505-7. doi: 10.1589/jpts.28.1505. Epub 2016 May 31.
[Purpose] Understanding the normal movements of the pharyngeal stage is important in the assessment of dysphagia. This study classified an elderly population into young-elderly and mid-elderly individuals and investigated the difference in stage transition duration between the two groups to provide basic material for assessment of dysphagia in old age. [Subjects and Methods] The subjects of the study were 12 middle-aged individuals (40-49 years), young-elderly individuals (65-74 years), and 9 mid-elderly individuals (75-84 years). Stage transition duration was defined as the time from the moment food boluses passed the ramus of the mandible until the start of upward movement of the hyoid. All image data were measured using a videofluoroscopic study. Difference in measured values for stage transition duration between the groups were confirmed with one-way analysis of variance. [Results] Although analysis of variance was significantly longer in the young-elderly and mid-elderly individuals than in the middle-aged individuals, there was no significant difference in stage transition duration between the young-elderly and mid-elderly individuals. [Conclusion] In this study, there was no significant difference between the young-elderly and mid-elderly individuals in the movement speed of muscles related to pharyngeal swallowing.
[目的]了解咽期的正常运动对于吞咽困难的评估很重要。本研究将老年人群分为年轻老年人和中年老年人,并调查两组之间阶段转换持续时间的差异,以为老年吞咽困难的评估提供基础资料。[对象与方法]研究对象为12名中年个体(40 - 49岁)、12名年轻老年人(65 - 74岁)和9名中年老年人(75 - 84岁)。阶段转换持续时间定义为食团通过下颌支到舌骨开始向上运动的时间。所有图像数据均通过电视荧光吞咽造影检查进行测量。用单因素方差分析确认各组间阶段转换持续时间测量值的差异。[结果]尽管方差分析显示年轻老年人和中年老年人的阶段转换持续时间明显长于中年个体,但年轻老年人和中年老年人之间的阶段转换持续时间没有显著差异。[结论]在本研究中,年轻老年人和中年老年人在与咽吞咽相关肌肉的运动速度上没有显著差异。